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2019 Basketball Sharpshooting Contest

Please complete the information below to register a contest for the 2019 Basketball Sharpshooting Contest to be held Thursday, May 23, starting at 1:30 pm on the Wellington HOA basketball court.

The contest is open to area youths between the ages of 7 and 13 years of age and is limited to the first 100 registrations.

Basketball Sharpshooting

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Participant Last Name:
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Participant First Name:
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Age of Participant:
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Gender of Participant
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Phone Number:
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Email:
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Guardian Name
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Acknowledgement that you have read and accept the waiver statement below
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Signature:
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Enter your typed signature
  

Completed form will be sent to: fitness@wellingtonhoa.net
This form will be stored and encrypted and can be retrieved
Connected to: Basketball Sharpshooting form.pdf
Last Modified: 4/8/2019 9:08:49 AM
Form ID: 73f6aa97-5206-488b-9d74-0b5b022b7bfc
Waiver Acknowledgement:

I, as guardian and the person submitting this entry, certify this minor has my permission to participate in an event such as the basketball sharpshooting contest. I acknowledge this event is a potentially hazardous activity, and that I as guardian of the participant should not allow the participant to compete unless physically able. I verify that this minor is medically fit to participate and will have sufficiently trained for the event prior to participation. I and this minor agree to abide by the rules and decisions of any event officials, relating to participation, and assume all risks associated with participation in the event and any associated event or activities,including but not limited to, falls, contact with other participants, effects of the weather, traffic and road conditions. By my submitting this form, I assume full and complete responsibility for any injury or accident which may occur to me or this minor during the event or while on the premises of the event, and I hereby release and hold harmless the presenters and all other person and entities associated with the event from liability for injuries and damage sustained by me or this minor. Further, I grant permission to use any photographs, videotapes, or any other records of this event involving me or this minor for any legitimate purpose. I give permission for officials at this event to authorize emergency medical treatment if necessary.

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